| Kennelly Speech Language Pathology Ltd | |
|
4450 31st Ave S, Suite 103, Fargo, ND 58104 | |
| (701) 364-5433 | |
| (701) 364-5431 |
| Full Name | Kennelly Speech Language Pathology Ltd |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 4450 31st Ave S, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154370187 | NPI | - | NPPES |
| 1457254 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 664 (North Dakota) | Primary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Secondary |
| Provider Name | Sherrey L Stich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407181639 PECOS PAC ID: 7012056393 Enrollment ID: I20091125000619 |
| Provider Name | Nanette S Kennelly |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316160914 PECOS PAC ID: 6103010988 Enrollment ID: I20101105000555 |
| Provider Name | Katyana M Wiedenman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770899577 PECOS PAC ID: 8820278179 Enrollment ID: I20110203001024 |
| Provider Name | Whitney Mae Moore |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902286990 PECOS PAC ID: 1052623444 Enrollment ID: I20150626000563 |
| Provider Name | Carrie Rice |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982088456 PECOS PAC ID: 5294049490 Enrollment ID: I20150731016413 |
| Provider Name | Laura Nyhus |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730271958 PECOS PAC ID: 6901116086 Enrollment ID: I20160106001676 |
| Provider Name | Olivia Huber |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992153019 PECOS PAC ID: 9739470055 Enrollment ID: I20160616001734 |
| Provider Name | Jena Rae Gorden |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942606025 PECOS PAC ID: 2466782255 Enrollment ID: I20190920000920 |
| Mailing Address | Practice Location Address |
|---|---|
| Kennelly Speech Language Pathology Ltd 4450 31st Ave S, Suite 103, Fargo, ND 58104 Ph: (701) 364-5433 | Kennelly Speech Language Pathology Ltd 4450 31st Ave S, Suite 103, Fargo, ND 58104 Ph: (701) 364-5433 |
Mrs. Jill S Erickson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1727 South 16th Street, Fargo, ND 58103 Phone: 701-446-4800 | |
Katherine Wilson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2846 Brandt Dr S, Fargo, ND 58104 Phone: 701-232-2340 Fax: 701-232-2330 | |
Elizabeth Elgie, MS CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3175 Sienna Dr S Ste 103, Fargo, ND 58104 Phone: 701-532-1906 Fax: 701-532-1896 | |
Sarah Hoepfner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6970 Fax: 701-234-7391 | |
Nancy Knowlton, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 Phone: 701-356-0062 Fax: 701-356-5412 | |
Kayla Marie Flach, MSLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 4500 36th Ave S Ste 200, Fargo, ND 58104 Phone: 701-532-1507 Fax: 701-532-1529 | |
Madison Jewel Neumann, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 405-388-9116 |